David Dwight Domenella in Richmond - Dentist
David Dwight Domenella - NPI 1427217918
David Dwight Domenella is a Dentist in Richmond, Illinois. David Dwight Domenella practices all healthcare services and medical treatments related to Dentist. The NPI Number for David Dwight Domenella is 1427217918. The last update date is 2012-10-11.
David Dwight Domenella's current location address is 9716 Us Highway 12, Richmond, Illinois. You can contact this provider via phone number 8156782800 and fax number 8156784807. The mailing address for David Dwight Domenella is 9716 Us Highway 12, Richmond, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Dwight Domenella |
|---|---|
| Address | 9716 Us Highway 12, Richmond, Illinois |
| Phone Number | 8156782800 |
| Fax Number | 8156784807 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1427217918 |
|---|---|
| Provider Enumeration Date | 2008-06-09 |
| Last Updated Date | 2012-10-11 |
Provider Mailing Address Detail
| Address | 9716 Us Highway 12 |
|---|---|
| City | Richmond |
| State | Illinois (IL) |
| Post Code | 600719253 |
| Phone Number | 8156782800 |
| Fax Number | 8156784807 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19.01968 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique identifier code issued to David Dwight Domenella by the Centers for Medicare & Medicaid Services (CMS)?
The David Dwight Domenella has been assigned the NPI (National Provider Identifier) 1427217918. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where David Dwight Domenella is geographically located?
The David Dwight Domenella is physically situated at the following location: 9716 Us Highway 12, Richmond, IL, 600719253.
What is David Dwight Domenella's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Dwight Domenella's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the David Dwight Domenella receive its 1427217918 assignment from the Centers for Medicare & Medicaid Services?
The David Dwight Domenella was assigned its 1427217918 by the Centers for Medicare & Medicaid Services on 2008-06-09.
When was the information pertaining to David Dwight Domenella most recently updated or revised?
The details related to David Dwight Domenella, including its address, specialty, and other relevant information, were last updated or revised on 2012-10-11.